NPIMap

Organization Active NPI

Aliuddin Khaja, MD., Inc

Doing business as Stanford Psychiatry Medical Group

  • Psychiatry Physician
  • Temecula, CA
National Provider Identifier
1093267171
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALIUDDIN KHAJA, MD., INC
Doing business as
Stanford Psychiatry Medical Group
Practice address
41715 Winchester Rd
Suite 104
Temecula, CA 92590-4808
Phone
(805) 952-3517
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aliuddin Khaja, MDNPI 1477754612
Title
Owner
Phone
(805) 952-3517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

41715 Winchester Rd
Suite 104
Temecula, CA 92590-4808

Mailing address

854 Magnolia Ave Ste 201
Corona, CA 92879-3109
Phone (951) 356-5414

Other names 1

  • Stanford Psychiatry Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aliuddin Khaja MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41715 Winchester Rd
Ste 104
Temecula, CA 92590
Phone (805) 952-3517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1093267171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 MAGNOLIA AVE STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793109",
            "telephone_number": "951-356-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "SUITE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904808",
            "telephone_number": "805-952-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIUDDIN KHAJA, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "ALIUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-952-3517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Psychiatry Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.